Advanced Walk-in Foot Care, PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ADVANCED WALK-IN FOOT CARE, PLLC

Practice address

2146 Beverley Rd
Brooklyn, NY 11226-5406

Phone

(718) 675-1717

Fax

(877) 868-8633

NPI assigned

Jul 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Walter Hernan Perez, D.P.M.

Title

Owner/Podiatrist

Phone

(718) 675-1717

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Toru Shimoji

  • Podiatrist
  • Rego Park, NY
  • NPI 1215224480
  NPD (past)
• Lisa Michelle Wedderburn, DPM

  • Podiatrist
  • Brooklyn, NY
  • NPI 1659398493
  NPD (past)
• Marlene Bonilla Alicea, DPM

  • Podiatrist
  • Richfield, MN
  • NPI 1588856546
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1396762290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 BEVERLEY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265406",
            "telephone_number": "718-675-1717",
            "fax_number": "877-868-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 BEVERLEY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265406",
            "telephone_number": "718-675-1717",
            "fax_number": "877-868-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WALK-IN FOOT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "HERNAN",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "718-675-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02519726",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.